[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Journal Information::
Articles archive::
For Authors::
For Reviewers::
Contact us::
Site Facilities::
Principles of Publication::
Indexing Sources::
Search in website

Advanced Search
Receive site information
Enter your Email in the following box to receive the site news and information.
Registered in



Open Access 
:: Volume 7, Issue 2 (Military Caring Sciences 2020) ::
MCS 2020, 7(2): 87-95 Back to browse issues page
The Effect of Auriculotherapy on the Stress in Patients Candidate for Coronary Angiography in Selected Aja Hospital
Vahid Rahimi1 , Seyyedeh Azam Sajadi * 2, Zahra Farsi3
1- MSc Student of Critical Care Nursing, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran.
2- Ph.D., in Nursing, Assistant Professor, Nursing Management Department, Aja University of Medical Sciences, Faculty of Nursing, Tehran, Iran.
3- Ph.D., Medical-Surgical Nursing, Associate Professor, Research and Community Health Department, Aja University of Medical Sciences, Faculty of Nursing, Tehran, Iran.      
Abstract:   (2194 Views)
Introduction: Although angiography  is applied as a standard method for the diagnosis of coronary heart disease, it is a stressful experience for patients. Medication therapy for mitigating the pre-operation stress includes side effects.
Objective:  The present study aimed to determine the effect of auriculotherapy on the level of stress before coronary angiography in male patients hospitalized in the selected Aja hospital in Tehran.
Materials and Methods: This single-blinded clinical trial study was performed on 94 male patients undergoing coronary angiography in 2019. Patients were selected by convenience sampling and divided into intervention and control groups by random sampling method  The DASS_21 Stress, Anxiety and Depression questionnaire were used to measure stress. The DASS-21 questionnaire subscale was completed by patients in both intervention and control groups. Auriculotherapy was performed by the researcher 60 minutes before angiography. Stress levels were measured again in both groups ten  minutes after the intervention, In the present study, SPSS-21 was used for data analysis, and the Significance level was considered less than 0.05. (P<0.05).
Results: There was no significant difference between groups before and after the intervention (P= 0.197). Patients' stress after auriculotherapy in the intervention group (2.98 ± 0.37) was significantly lower than that before auriculotherapy (4.17 ± 0.44) (P = 0.001); Stress was not significantly different in the control group (3.32 ± 0.40) before and after the intervention (3.0 ± 15.40) (P= 0.373). But the level of stress in the intervention group after auriculotherapy was insignificantly reduced compared to the control group (P= 0/790).
Discussion and Conclusion: The results showed that auriculotherapy can mitigate stress in patients undergoing angiography; therefore, this complementary method can be used  to mitigate stress in these patients. Further studies with more sample size are recommended.

IRCT No.: IRCT20190113042348N1
Keywords: Auriculotherapy, Acupuncture, Angiography, Coronary Artery, Stress.Stress.
Full-Text [PDF 800 kb]   (1057 Downloads)    
Type of Study: Research | Subject: Special
Received: 2020/01/16 | Accepted: 2020/03/19 | Published: 2020/10/1
1. Gajjala PR, Sanati M, Jankowski J. Cellular and Molecular Mechanisms of Chronic Kidney Disease with Diabetes Mellitus and Cardiovascular Diseases as Its Comorbidities. Front Immunol. 2015;6:340. http://dx.doi.org/10.3389/fimmu.2015.00340 www.ncbi.nlm.nih.gov/pubmed/26217336 [DOI] [PubMed]
2. Mobasheri M, Ramazani Y, Akbari H. Comparison of Two Face -to -Face and Pamphlet Training Methods in Increasing Awareness and Performance of Cardiovascular Diseases Risk Factors among Kashan High School Girl Students. Research in Med Educat. 2013;5(2):8-15. http://dx.doi.org/10.18869/acadpub.rme.5.2.8 [DOI]
3. Torres N, Guevara-Cruz M, Velazquez-Villegas LA, Tovar AR. Nutrition and Atherosclerosis. Arch Med Res. 2015;46(5):408-26. http://dx.doi.org/10.1016/j.arcmed.2015.05.010 www.ncbi.nlm.nih.gov/pubmed/26031780 [DOI] [PubMed]
4. Jeevarethinam A, Venuraju S, Weymouth M, Atwal S, Lahiri A. Carotid intimal thickness and plaque predict prevalence and severity of coronary atherosclerosis: a pilot study. Angiology. 2015;66(1):65-9. http://dx.doi.org/10.1177/0003319714522849 www.ncbi.nlm.nih.gov/pubmed/24576983 [DOI] [PubMed]
5. Vlodaver Z, Wilson RF, Garry DJ. 2012. http://dx.doi.org/10.1007/978-1-4614-1475-9 [DOI]
6. Abe H, Iguchi N, Utanohara Y, Inoue K, Takamisawa I, Seki A, et al. Non-invasive diagnosis of coronary artery disease by 123I-BMIPP/201TlCl dual myocardial SPECT in patients with heart failure. Int J Cardiol. 2014;176(3):969-74. http://dx.doi.org/10.1016/j.ijcard.2014.08.129 www.ncbi.nlm.nih.gov/pubmed/25205480 [DOI] [PubMed]
7. Douglas PS, Hoffmann U, Patel MR, Mark DB, Al-Khalidi HR, Cavanaugh B, et al. Outcomes of anatomical versus functional testing for coronary artery disease. N Engl J Med. 2015;372(14):1291-300. http://dx.doi.org/10.1056/NEJMoa1415516 www.ncbi.nlm.nih.gov/pubmed/25773919 [DOI] [PubMed]
8. Wetsch WA, Pircher I, Lederer W, Kinzl JF, Traweger C, Heinz-Erian P, et al. Preoperative stress and anxiety in day-care patients and inpatients undergoing fast-track surgery. Br J Anaesth. 2009;103(2):199-205. http://dx.doi.org/10.1093/bja/aep136 www.ncbi.nlm.nih.gov/pubmed/19483203 [DOI] [PubMed]
9. Mikosch P, Hadrawa T, Laubreiter K, Brandl J, Pilz J, Stettner H, et al. Effectiveness of respiratory-sinus-arrhythmia biofeedback on state-anxiety in patients undergoing coronary angiography. J Adv Nurs. 2010;66(5):1101-10. http://dx.doi.org/10.1111/j.1365-2648.2010.05277.x www.ncbi.nlm.nih.gov/pubmed/20423357 [DOI] [PubMed]
10. Raiesdana N, Kamali E, Soleimani M. Assessment of situational and heart focused anxiety in patients with coronary artery disease before angiography: Koomesh; 2017.
11. Hickman G, Stevenson M. Stress and heart disease. Philadelphia: FA Davis. 2001.
12. Greco A. Effects of Music on Anxiety and Pain in the Diagnosis and Treatment of Patients With Breast Cancer. School of Physician Assistant Studies. 2013;432.
13. Bradley BF, Starkey NJ, Brown SL, Lea RW. Anxiolytic effects of Lavandula angustifolia odour on the Mongolian gerbil elevated plus maze. J Ethnopharmacol. 2007;111(3):517-25. http://dx.doi.org/10.1016/j.jep.2006.12.021 www.ncbi.nlm.nih.gov/pubmed/17289317 [DOI] [PubMed]
14. Oleson T. Auriculotherapy manual: Chinese and western systems of ear acupuncture: Elsevier Health Sciences; 2013.
15. Liangyue D, Yijun G, Shuhui H, Xiaoping J, Yang L, Rufen W. Chinese acupuncture and moxibustion. Traditional Med Asia. 2001;75.
16. Suen K, Thompson DR, Yu C, Lin Z, Lee P, Chu T. Traditional auriculotherapy for hypertension: a pilot randomized trial. J cardiovascular disease. 2014.
17. Vieira A, Reis AM, Matos LC, Machado J, Moreira A. Does auriculotherapy have therapeutic effectiveness? An overview of systematic reviews. Complement Ther Clin Pract. 2018;33:61-70. http://dx.doi.org/10.1016/j.ctcp.2018.08.005 www.ncbi.nlm.nih.gov/pubmed/30396628 [DOI] [PubMed]
18. Najafi Z, Taghadosi M, Sharifi K, Farrokhian A, Tagharrobi Z. The Effects of Inhalation Aromatherapy on Anxiety in Patients With Myocardial Infarction: Randomized Clinical Trial. Iranian Red Crescent Med J. 2014;16(8). http://dx.doi.org/10.5812/ircmj.15485 [DOI]
19. Taghadosi M, Deldadeh M, Mansoorzadeh K, Gilasi H, Afazel M. Effects of Simultaneous Acupressure and Auriculotherapy on Patient Anxiety before Coronary Angiography: a Randomized Controlled Trial. Complementary Med J. 2015;6(1):54-63.
20. Valiani M, Ashtari F, Mansourian M. The effect of auriculotherapy on stress, anxiety, and depression in ms patients: a double blind randomized clinical control trial (Parallel Design). Acta Med Mediterran. 2018;34:561-7.
21. Mousavi F, Golmakani N, Bahrami Taghanaki H, Saki A, Akhlaghi F. Effects of auriculotherapy on post cesarean anxiety. The Iranian J Obstetrics, Gynecology & Infertility. 2017;20(6):50-60.
22. Kao CL, Chen CH, Lin WY, Chiao YC, Hsieh CL. Effect of auricular acupressure on peri- and early postmenopausal women with anxiety: a double-blinded, randomized, and controlled pilot study. Evid Based Complement Alternat Med. 2012;2012:567639. http://dx.doi.org/10.1155/2012/567639 www.ncbi.nlm.nih.gov/pubmed/22649475 [DOI] [PubMed]
23. Dellovo AG, Souza LMA, de Oliveira JS, Amorim KS, Groppo FC. Effects of auriculotherapy and midazolam for anxiety control in patients submitted to third molar extraction. Int J Oral Maxillofac Surg. 2019;48(5):669-74. http://dx.doi.org/10.1016/j.ijom.2018.10.014 www.ncbi.nlm.nih.gov/pubmed/30442551 [DOI] [PubMed]
24. 24. Mohammadpour A. Effect of Auriculotherapy on depression in infertile women: A Randomized Clinical Trial. The Iranian J Obstetrics, Gynecology & Infertility. 2019;22(9):36-44.
25. Iunes DH, Chaves Ede C, Moura Cde C, Correa B, Carvalho LC, Silva AM, et al. Role of Auriculotherapy in the Treatment of Temporomandibular Disorders with Anxiety in University Students. Evid Based Complement Alternat Med. 2015;2015:430143. http://dx.doi.org/10.1155/2015/430143 www.ncbi.nlm.nih.gov/pubmed/26495012 [DOI] [PubMed]
26. Mafetoni RR, Rodrigues MH, Jacob L, Shimo AKK. Effectiveness of auriculotherapy on anxiety during labor: a randomized clinical trial1. Rev Lat Am Enfermagem. 2018;26:e3030. http://dx.doi.org/10.1590/1518-8345.2471.3030 www.ncbi.nlm.nih.gov/pubmed/30208157 [DOI] [PubMed]
27. Eghdam-Zamiri R, Dorosti A. Effect of Ear Acupressure on Anxiety and Cortisol Levels in Women Receiving Premastectomy Radiotherapy: A Randomized Clinical Trial. Iranian Quarterly J Breast Disease. 2019;12(3):8-16. http://dx.doi.org/10.30699/acadpub.ijbd.12.3.8 [DOI]
28. Kurebayashi LF, Silva MJ. Efficacy of Chinese auriculotherapy for stress in nursing staff: a randomized clinical trial. Rev Lat Am Enfermagem. 2014;22(3):371-8. http://dx.doi.org/10.1590/0104-1169.3239.2426 www.ncbi.nlm.nih.gov/pubmed/25029046 [DOI] [PubMed]
29. Saffari M, Khashavi Z, Valiani M. The Effect of Auriculotherapy on the Stress and the Outcomes of Assistant Reproductive Technologies in Infertile Women. Iran J Nurs Midwifery Res. 2018;23(1):8-13. http://dx.doi.org/10.4103/ijnmr.IJNMR_105_16 www.ncbi.nlm.nih.gov/pubmed/29344039 [DOI] [PubMed]
30. Rastegarzade H, Abedi P, Valiani M. The effect of auriculotherapy on labor pain intensity in nulliparous women. Anesthesiology & Pain. 2015;6(3):54-63.
31. Aghebati N. Effects of touch therapy on pain and psychiatric symptoms (Depression, anxiety and stress) of cancers patients. Tarbiat Modares University, Faculty of Med Sci. 2005:65-70.
32. Moradipanah F, Mohammadi E, Mohammadil AZ. Effect of music on anxiety, stress, and depression levels in patients undergoing coronary angiography. East Mediterr Health J. 2009;15(3):639-47. www.ncbi.nlm.nih.gov/pubmed/19731780 [DOI]
33. Coker AO, Coker OO, Sanni D. Psychometric properties of the 21-item Depression Anxiety Stress Scale (DASS-21). African Res Rev. 2018;12(2):135. http://dx.doi.org/10.4314/afrrev.v12i2.13 [DOI]
Send email to the article author

Add your comments about this article
Your username or Email:


Ethics code: IR.AJAUMS.REC.1398.025
Clinical trials code: IRCT20190113042348N1

XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rahimi V, Sajadi S A, Farsi Z. The Effect of Auriculotherapy on the Stress in Patients Candidate for Coronary Angiography in Selected Aja Hospital. MCS 2020; 7 (2) :87-95
URL: http://mcs.ajaums.ac.ir/article-1-353-en.html

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 7, Issue 2 (Military Caring Sciences 2020) Back to browse issues page
علوم مراقبتی نظامی Military Caring Sciences
Persian site map - English site map - Created in 0.06 seconds with 43 queries by YEKTAWEB 4652